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尺浅动脉:异常走行病例报告

Superficial Ulnar Artery: A Case Report of its Unusual Course.

作者信息

Quadros Lydia Shobha, Bhat Nandini, D'Souza Antony Sylvan

机构信息

Department of Anatomy, Kasturba Medical College, Manipal University, Madhavnagar, Manipal, 576104 Karnataka, India.

出版信息

Malays J Med Sci. 2015 May-Jun;22(3):65-7.

PMID:26715898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4681723/
Abstract

After arising from the brachial artery in the cubital fossa the ulnar artery usually passes deep into the superficial flexor muscles of the forearm. In the lower two-thirds, it typically follows a sub-fascial course. In the present case, during a routine undergraduate course dissection of a cadaver, it was found that the ulnar artery arose normally as a terminal branch of the brachial artery in the cubital fossa, followed a sub-fascial course by lying superficial to the flexor muscles then completed the superficial palmar arch in hand. This artery gave only minute muscular branches in the forearm. Moreover, the main branches that usually arise from the ulnar artery were given off by the radial artery. This type of variation is of importance for both the clinicians and surgeons due to its vulnerability to injuries and of academic interest for anatomists.

摘要

尺动脉在肘窝处自肱动脉发出后,通常穿入前臂浅屈肌的深层。在其下三分之二的行程中,它通常走行于筋膜下。在本病例中,在一次本科常规尸体解剖过程中发现,尺动脉正常发自肘窝处的肱动脉终支,走行于筋膜下,位于屈肌浅面,然后在手部形成掌浅弓。该动脉在前臂仅发出细小的肌支。此外,通常由尺动脉发出的主要分支由桡动脉发出。这种变异类型因其易受伤性对临床医生和外科医生都很重要,并且对解剖学家具有学术研究价值。

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引用本文的文献

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Superficial Arterial Variants of the Upper Limb: Clinical Implications of High-Origin Ulnar and Radial Arteries Detected by Ultrasound and Anatomy Study.上肢浅表动脉变异:超声及解剖学研究检测到的高位起源尺动脉和桡动脉的临床意义
J Funct Morphol Kinesiol. 2025 Jun 27;10(3):246. doi: 10.3390/jfmk10030246.
2
Superficial ulnar artery diagnosed by vascular ultrasound: case report.经血管超声诊断的尺浅动脉:病例报告
J Vasc Bras. 2024 Feb 5;23:e20230085. doi: 10.1590/1677-5449.202300852. eCollection 2024.
3
Study of course and termination of brachial artery by dissection and computed tomography angiography methods with clinical importance.通过解剖和计算机断层血管造影方法对肱动脉走行及终止情况的研究及其临床意义。
Anat Cell Biol. 2022 Sep 30;55(3):284-293. doi: 10.5115/acb.22.053.
4
An unusual topographic relationship between high origin of superficial ulnar artery and bitendinous palmaris longus.尺浅动脉高位起始与双肌腱掌长肌的不常见的局部解剖关系。
Anat Sci Int. 2021 Sep;96(4):577-581. doi: 10.1007/s12565-021-00608-9. Epub 2021 Feb 4.

本文引用的文献

1
High origin of ulnar artery in South Indian male cadaver: a case report.
Rom J Morphol Embryol. 2008;49(4):573-5.
2
Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps.尺侧浅动脉:前臂筋膜皮瓣切取中的祸根还是福音。
Head Neck. 2006 May;28(5):447-52. doi: 10.1002/hed.20367.
3
The superficial ulnar artery--a potential hazard in patients with difficult venous access.尺侧浅动脉——静脉穿刺困难患者的潜在风险。
Br J Anaesth. 2005 May;94(5):692-3. doi: 10.1093/bja/aei548.
4
Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature.上肢动脉模式变异再探讨:一项形态学与统计学研究,并附文献综述
J Anat. 2001 Nov;199(Pt 5):547-66. doi: 10.1046/j.1469-7580.2001.19950547.x.
5
An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries.23例人体肱-前臂动脉主要模式变异的解剖学研究及个体发生学解释
J Anat. 1995 Oct;187 ( Pt 2)(Pt 2):473-9.